Booking Form

Please contact us to confirm availability of our motorhome on the dates you require before completing this booking form.

Tel: +44 (0)1856 988359
Mob: +44 (0)7803 088988
Email: kerry@motorhomehireorkney.com

Address:
Westermill
24 Willowburn Road
KIRKWALL
Orkney
KW15 1NG

About You - Main Contact

Title (required)

First Name (required)

Surname (required)

Your Email (required)

Daytime Telephone (required)

Mobile Phone

Address Line 1 (required)

Address Line 2

Town/City (required)

County (required)

Postcode (required)

Country (required)

Other Person Travelling with you, plus ages if under 18....

Passenger 1    Age:

Passenger 2    Age:

Passenger 3    Age:

Passenger 4    Age:

Do you intend to take a dog?

We may contact you for further information about your pet.

Booking Dates

Start Date (required)

Return Date (required)

Optional Extras

Bedding (+£20)

Towels (x2) (+£10)

BBQ Bucket and Coals (+£10)

Details we need for your insurance - Main Driver Details:

Name (required)

Occupation (required)

Date Of Birth (required)

Age (required)

Driving Licence Number (required)

Issuing Authority (required)

Valid From (required)

Have you been involved in any motoring accidents in the last 3 years?

If Yes, how many?

Have you ever been refused motor insurance?

In the past five years, have you been convicted of any motoring offences or had your license endorsed or suspended or penalty points imposed.

If yes, list the dates, the offence code (eg SP30), the amount if you were fined, and the penalty points.

Additional Driver Details (Optional)

You only need to complete this section if an additional driver will be driving the motorhome

Name (required)

Occupation (required)

Date Of Birth (required)

Age (required)

Driving Licence Number (required)

Issuing Authority (required)

Valid From (required)

Have you been involved in any motoring accidents in the last 3 years?

If Yes, how many?

Have you ever been refused motor insurance?

In the past five years, have you been convicted of any motoring offences or had your license endorsed or suspended or penalty points imposed.

If yes, list the dates, the offence code (eg SP30), the amount if you were fined, and the penalty points.

Any other important information to help us make sure you have a fantastic holiday?

Terms & Conditions

I have read and accept the terms and conditions (page opens in new window)